Moose Mommas


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  2010 Booking Form



Rates: Week-long retreats: $648.00 includes tax

Note: The camp fee of $648.00 is payable with your signup. All workshop and excursion fees are paid separately to the artists or business owners the day of each workshop. Be prepared to pay them with check or cash.

To book our facilities for a week of your choosing, check the box corresponding to the dates you desire and fill in the remainder of the form.


What dates are you interested in?


June 23-27, 2010
July 21-25, 2010
August 18-22, 2010
September 15-19, 2010




I want to bunk with my friends. (If yes, please list below - only 4 people per cabin)

I am vegetarian     Meat Lover

Any medical conditions, allergies, heart problems, dietary needs or RX drugs (please explain):



I have read the Reservation Policies on the website and agree to them (please check box)

Release Form: I agree to assume all risk of personal harm or injury relating to or resulting from my participation in all workshops for which I have registered, and to hold MooseMommas/Flume Creek Ranch and it's artists, harmless as to liability for any such harm or injury.

Name:

Email:

Address:

City:

Prov/State:

Postal Code:

Home Phone/Fax:

Emergency Contact:

Signature (if printing this):

Select method of payment:

Check PayPal

I would like to pay the full amount now:

Yes, full amount now I would like to pay the remaining balance.
($398)

Full payment for all Retreats is due and payable 60 days prior to your booked retreat dates.
Note: The camp fee of $648.00 is payable with your signup. Extra expenses outlined in the activities above are payable to the individual activities upon arrival.



      

MooseMommas - 1884 Flume Creek Road, Sandpoint, Idaho 83864 - (208) 263-6502 - flumeckranch@imbris.com